Secure New Member Order Form

Order Form

We believe that privacy is an inherent American personal right. We have no right nor will we sell personal information to absolutely "NO ONE"!!!

Full Encryption. All prices are Plus Shipping

This is a Secure Section...ALL PRICES ARE BASED ON AMERICAN DOLLARS.

All prices are Plus Shipping. Sales Tax will be added if shipping in the state of Texas unless a Resale number or Tax Exempt number is included in the order. A Resale Number is not required to place an Order. ALL PRICES ARE BASED ON AMERICAN DOLLARS. Note: There is a $5.00, per box, customs paperwork processing charge on all INTERNATIONAL Orders.

To Order by check, money order, phone Click Here

Last

Shipping Address

City

State Region

Zip

Country

Home Phone

Resale Number

Work Phone

Note: If your Shipping Address is different then the Billing Address for your credit card, you must type
your Billing Address below along with any special instructions in order to avoid any delays in your order.

E-mail

This Order Is Being Shipped To
Company Name If Applicable
Your URL If You Would like To Share

Credit Card

Expiration Date

Card Number

The Account Number You Pick Must Be At Least Six Digits Or Greater.

	Pick An Account # and enter it below		Pick A Secret Word and enter it below
Account #		Secret Word

Please record your account number and secret word for future use.

Product Id

Quantity

Unit Price

Totals

Weight

Your

Order

TOTAL

Weight

Texas

Add Tax

.0825% )-:

Is Not

Texas

Grand

Total

Required

NOTE: If You Are Not A Texas Resident You Will Not Charged Texas Sales Tax.

We would be grateful if you would let us know how you found us.

To Continue Or Submit Order Click Below

Once you press submit, if you wish to continue your order
just press the continue button on the Thank You page.
If You Do Not Receive A >>Got It<< Email
Within 24 Hours Mon-Fri., Please Let Us Know.

^©LinkAmerica
224 E. Main St.
Port Lavaca, Tx., 77979
Phone: 1-800-496-4707
Central Time
If You Wish To Pay By Check or Money Order
Print Two Copies of this Form and Send a copy with a Check or Money Order.
Make all checks or money orders payable to: LinkAmerica
PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS, Thank you
Top Of Page Click Here

Questions? Problems? Please E-Mail >> Answers!

Questions

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